DENTAL

Safety Now
More Than Ever

1
 Safety Now
More Than
Ever
What has changed in your dental practice because
of the COVID-19 pandemic? While safety has always
been a critical factor in patient and teammate
care, it’s now a primary focus for maintaining staff
confidence and bringing patients back to the office.

Ensuring safe workflow and the highest standards of

infection control within your practice can help sustain
your business through the toughest times. How do
your processes measure up? When patients ask for
reassurance that a visit to your office is safe and
won’t expose them to undue risk, is it enough to tell
them that everything is safe, or can you differentiate
yourself by showing them?
WHAT’S Sterilization Center
Treatment Rooms
3–11
12–17
Cabinetry and Surfaces 18–19
INSIDE Mechanical Room
Imaging
20–21
22–25
Here, we’ll examine how practice design, the right
equipment and right processes can support your
Resources 26
Cleaning and Disinfecting 27
goals to improve workflow and help prevent infection
Staying Informed 28 every day.

2 Safety Now More Than Ever 3

Design a Safer Practice
You can find opportunities
to ensure safer workflows
throughout your practice.
Two important, usually
high-traffic, environments
are the sterilization center
and treatment rooms.
Start in these spaces
as you design a safer
practice.

4 Safety Now More Than Ever 5

Sterilization Center Safety
FOLLOW CDC WORKFLOW GUIDELINES
Safety within your sterilization center starts with recommended guidelines from the Centers for Disease Control and
Prevention (CDC). These guidelines promote a five-step process in a dirty-instrument-to-clean-instrument workflow. Instrument
processing should be managed in a dedicated space, free of other equipment, food, beverages and personal items such as
To make a safer sterilization center environment, let’s explore your workflow, processes and equipment. mobile phones.

3
1 2 5

4 Tip: Wearing proper personal

protective equipment (PPE)
is vitally important. The
CDC website is the best
resource to understand these
recommendations to avoid
injury and contamination.

1 Receiving, Cleaning and Decontaminating:
• Sometimes dirty instruments need to be dropped
off and tended to later, although this wait time
should be minimized so that debris does not dry
on your tools. When necessary, store contaminated
tools in a container with a closed lid, inside a
dedicated closed space, such as an upper cabinet.
• Cleaning instruments in an ultrasonic cleaner
or washer helps avoid risk of injury from sharp
instruments, common with washing by hand.
• When instruments are clean, rinse and allow
them to thoroughly dry before packaging.
2 Preparing and Packaging:
• Following the Instructions for Use (IFU) from your
instrument and equipment manufacturers is the best
way to protect the useful life of your tools.
• Unless you are using a fast sterilizer for immediate
use of instruments, ensure they are either placed
in pouches or, if you are using cassettes, that they
are wrapped. This packaging will help with proper
storage at the end of the workflow.
3 Sterilizing:
• Always load your sterilizer according to the
manufacturer’s IFU. Be careful not to overload
the chamber and, if you’re using pouches, do not
overlap them. Midmark strongly recommends
using pouch racks, especially on the bottom tray,
to prevent pouches from browning or damaging
instruments with higher heat.
• Always allow the sterilizer to run its full cycle so that
instruments are fully dry.
• Follow your manufacturer’s IFU for daily care and
routine maintenance so that sterilization cycles
aren’t compromised.
4 Monitoring/Assuring Sterility: 5 Storing:
• Sterilization procedures should be monitored using • Store dry pouches and wrapped cassettes in
biological, mechanical and chemical indicators. dedicated, dry storage. If they are exposed to
• Sterilization cycle record-keeping guidelines moisture prior to use, the sterilization process
may vary according to local, state and federal should be repeated.
governance. Most sterilizers offer an electronic
data logger capability to simplify this process.
• Consult your sterilizer manufacturer’s IFU.
Typically, a combination of biological (spore
test) and chemical (load specific) indicators are
recommended.

6 Safety Now More Than Ever 7

Design a Safe and
Did you know that based on average dental practices,
your team may go in and out of the sterilization area as
many as 80–100 times, or more, each day? Efficiency and
risk reduction are essential. There are multiple ways to lay
size of your practice. The layout itself can be flexible, but
straight-line and galley-style layouts are the most common.
A good rule of thumb is to have 10–12 feet of linear space,
at a minimum, for a single-doctor practice with up to 5

Efficient Workflow out an effective sterilization center and follow the CDC’s
recommended five-step dirty-to-clean workflow.

The layout and location you choose will depend on the

treatment rooms, adding 2 feet per additional doctor
or 2–3 treatment rooms. To maximize efficiency, your
sterilization center should be centrally located so it is no
farther to access than 3 treatment rooms away.
size space you have, which should be adequate for the

STEP 1 STEP 2 STEP 3 STEP 4 STEP 5

RECEIVING, CLEANING PREPARING + PACKAGING STERILIZING MONITORING/ASSURING STORING
AND DECONTAMINATING STERILITY

L-SHAPED
3 GALLEY
4
2 1 An L-shaped counter arrangement maximizes use
The galley layout consists of workspaces on two opposing of available space where elbow room is limited.
walls with a single traffic lane between. This arrangement The space you have can be all you need to do
allows for easy access and efficient workflow, helping your instrument processing effectively.
staff keep it all moving with a linear flow while keeping
everything within reach.

1 2 3 4 5

1
U-SHAPED 4
STRAIGHT-LINE
3
5
Multiple cleaners and sterilizers demand space, and a Perfectly suited to the 5-step flow that is instrument
U-shaped workspace design provides that and more. Ample processing, a straight-line workspace design is the picture
surface areas allow more staff in the room to multi-task and 2 of efficiency. Use it to streamline workflow, and let it create
maintain a bustling workflow. an open and impressive visual for patients passing by.

2 3 4

8 Safety Now More Than Ever 9

Build Patient
Confidence with a
Safety Showpiece
A well-designed sterilization center is not just an
engine of productivity for your practice, it can be a
valuable marketing tool to reassure your patients you
care about their safety. A best practice is to use clear
windows to set the room apart and allow patients to
observe from a safe position.
10 Safety Now More Than Ever
Krystal Gillis, DDS, created a carefully
designed sterilization area she’s proud to
show her patients. “Our speed of workflow
has really increased,” Dr. Gillis explains.
“We’re able to turn over instruments faster.
We’re able to get patients into rooms faster.
We’re able to see more patients and treat
them better with our new design.”
"Safety is
our best
marketing
tool.”
"When we designed our office, we put a large
window in our sterilizing room. People
asked why we wanted patients to see dirty
instruments. Easy—we want them to see
how effectively we practice and trust that
everything is completely sterile for their
safety. And because it’s unique and cool,
their word-of-mouth becomes our best
marketing tool.”
Ileana T. Toro, DMD
Village Park Advanced Cosmetic
and Family Dental
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11
Treatment
Room Safety
PROTECT YOUR HEALTH
While patient safety is vital to your practice, so is your health and
your team’s health. Did you know that more than 80% of dentists
in the US have reported suffering from neck, shoulder and lower
back pain? And that 34% of lost workdays are due to work-related
musculoskeletal injuries? How much is that costing you?
12 Safety Now More Than Ever
$
OSHA estimates the average cost
per incident for injuries like sprains,
strains, inflammation and carpal tunnel
syndrome is $64,000. With just a few
incidents, your revenue would need to
grow by millions.
Designing your treatment room for better ergonomics and workflow can help
your health and efficiency. What does that look like? According to Dr. Jeff
Carter of Practice Design Group, a treatment room measuring 10 feet, 4 inches
wide by 12 feet deep will provide the right space for most ideal configurations.
Start with the dental chair, which is typically 6 feet long, then add ideal spacing
and equipment around it, including a back cabinet about 22 to 24 inches deep,
a space of 24 to 30 inches between the back cabinet and head of the chair, a
space of 18 inches at the foot of the chair, side cabinets 18 inches deep and
ADA clearances of 32 inches on either side of the dental chair for accessibility.
Together, these dimensions and layout help support ideal workflow and
ergonomics by including maneuverable space around the chair and placing
delivery units, work surfaces and the oral cavity all within your reach.
We invite you to take a deeper dive into understanding the risks to your health
in our white paper, “4 Reasons to Take Ergonomics Seriously.” Learn the risks,
then ask us how to plan your treatment rooms and use equipment properly to
support your health.
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 Protect Patients from
the Moment They Sit
Down
The world you’re working in has
changed. Your patients are more aware
of the proactive protections you offer
and talk about how safe—or unsafe—
they felt about their dental visit.
Welcoming patients into a clean
environment sets a good first
impression. Have you been
somewhere recently where you’ve had
to sit in a cloth-covered seat? And did
you cringe a little wondering how safe
that was? Don’t overlook using the
same safe, asepsis-friendly upholstery
on your waiting room chairs as you use
on your dental treatment chairs.
Midmark offers Ultrafabrics®
upholstery for both patient seating and
dental treatment chairs to meet your
safety and design goals. Ultrafabrics
engineers high-performance
polyurethane materials utilizing
proprietary technology that includes
premium-quality polycarbonate resins
in the manufacturing process. This
process ensures that Ultrafabrics
materials stay ahead of the cleaning
and disinfecting challenges faced
by lesser-quality polyurethane
constructions and withstands the
various cleaners and disinfectants
essential for keeping high-traffic
environments clean.
14 Safety Now More Than Ever
But keep in mind, all disinfectants and
cleaning agents contain chemicals
that degrade your upholstery to some
extent. To promote a long product
life, we recommend you adhere
to Midmark’s Upholstery Care and
Maintenance Guidelines.
Infection prevention is only part of the
safety picture. If you are concerned
with reducing all kinds of unnecessary
risk, consider the way the dental
treatment chair functions. Dental chairs
move multiple ways, rotating, raising
and lowering to allow the best access
to the patient. What makes a chair
most functional to a clinician can also
make it dangerous for a child who
wants to touch all the buttons. The
Elevance® Dental Chair has a Child
Lockout System that allows you to
disable the chair’s electronic controls
to prevent unintentional use. Buttons
and brake release pedals will not work
while the chair is locked, preventing
possible injury to children.
Elevance Dental Chairs are also
equipped with collision protection
to prevent damage to personnel or
equipment. If any of its six safety
switches bump into an obstacle, the
chair will stop moving and raise slightly
to allow the obstacle to be removed.
Safe environment design also ensures
sharps safety. Ideally, a sharps
container should be in every operatory
so you can place used disposable
syringes and needles, scalpel blades,
and other sharp items in appropriate
puncture-resistant containers located
as close as possible to the area where
the items are used.
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Keep the Dental
Delivery Unit Safe

Waterline maintenance is necessary to keep the count of heterotrophic bacteria

from rising higher than desired levels. Local or regional guidelines determine the Per the CDC, routine flushing of
desired level for a specific location. the waterlines should be performed
between every patient. Extra flushing
Delivery unit waterline treatments come in many forms. The most popular methods may be needed when tablets are
currently on the market are tablets and a straw/cartridge-based system. Straw/ used. Undissolved tablet particles can
cartridge-based systems may do the best job keeping the bacteria levels in check gather over time in places within the
and perform better with Midmark equipment based on their ability to more waterlines, obstructing the line and
thoroughly dissolve, preventing waterline clogs. causing water flow to slow. Flushing
the waterlines maximizes water flow Regular handwashing is one
Regularly monitor lines to ensure that heterotrophic bacteria are not exceeding and should push any undissolved of the best ways to remove
the desired limit. If the level is higher than desired, perform a shock treatment of particles through the line. Learn more germs, avoid getting sick and
the waterlines. Experts recommend monitoring monthly, making adjustments to from OSAP's Dental Unit Water Quality prevent the spread of germs
the frequency based on test results. white paper. to others. Minimize the spread
of contaminants by having
an adequate number of sinks
available.

16 Safety Now More Than Ever 17

Control Contaminants
Hiding in Plain Sight
The risk of contamination from surfaces is with us every day.
Your cabinetry and countertops could be home to dangerous
pathogens, which is why choosing the right materials for your
demanding environment is so important. Durable, aseptic cabinetry
and surfaces should stand up to the water, steam and heavy use
of the sterilization area and be easily disinfected here and in your
treatment rooms.
For effective infection control,
Midmark recommends:
• Aseptic, non-porous counter
materials such as solid surface and
quartz
• Heat-and-moisture-resistant cabinet
surfaces and materials
• Easy-to-clean, bactericidal cabinet
and drawer handles
• Seamless polystyrene drawers and
seamless panels
Compare Cabinetry
18 Safety Now More Than Ever
Midmark Cabinets
vs. Local Millwork
Our steel-constructed Synthesis
cabinetry with solid-surface or quartz
countertops won’t delaminate or
chip over time and feature durable
aseptic polystyrene drawer liners.
Consider adding hands-free dirty
storage and foot pedals for waste
disposal, built right into your
cabinetry. Touchless faucets and Synthesis® Cabinetry Artizan® Expressions Local Millwork
anti-microbial cabinet handles offer • Membrane-pressed • 3 mm PVC edgebanding • Square edge strips
additional infection control support. thermofoil • 2 mm edgebanding
By comparison, standard locally
sourced millwork has square-edged
laminate stripping, which can create
sharp, dangerous corners and even
delaminate over time. The door
edges and corners become unsealed
and susceptible to moisture and
bacteria.
Synthesis Cabinetry Local Millwork
Seamless drawers made from a • Seamless, polystyrene • Often varnished,
lightweight moisture-resistant drawers painted or unfinished
material like polystyrene are best. • Anti-microbial pulls drawer interiors
The substrate, or the core material (not shown)
of the cabinet’s paneling, should be
an industrial-grade particle board
or medium-density fiberboard.
Both have minimal shrinkage and
expansion, making them more stable
and less prone to warping. Veneered
plywood and lower density boards
don’t perform well in humidity, and
once the core separates from the
finish, contaminants are likely to find
Synthesis Cabinetry Artizan Expressions Local Millwork
their way to those compromised
• Medium-density • Industrial-grade particle • Low-density particle
areas.
fiberboard board board
• 3/4" panels • 3/4" panels • Various types of
plywood
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Reduce Airborne Risks The Ultimate in Clean Air
Types of Contaminants*
Visible with the Visible with an Electron
Visible with a Microscope
naked eye Microscope

Particle size in micron

5 1.0 0.5 0.1 0.01 0.001

Bacteria
Cooking Smoke/Grease
Human Hair Pet Dander
Household Dust Viruses
Fertilizer Tobacco Smoke
Plant Spores Insecticide Dust
Coal Dust

Contaminants that pass through a 5-micron filter

Competitive compressor brands filter air to 5 micron. Midmark PowerAir oil-less compressors filter air to 0.01 micron.
*Adapted from: http://www.cleanaire.co.nz/design_your_HRV/Air+Filters+Explained.html

Dental air compressors and vacuums are familiar and necessary components of For patients unsure of the safety HOW BIG IS A MICRON? Human Hair
your practice. They are the heart and lungs that breathe life into your handpieces of indoor procedures in a dental When imagining the size of a micron,
and ensure saliva and other liquids are comfortably and safely evacuated from your office, knowing the air they breathe
0.0889 mm
think of it like this: The large circle
patient’s mouth. While your safety protocols are focused on controlling the spread is well ventilated and the air used in represents the size (O.D.) of a 0.00254 mm
of bloodborne pathogens, a new and urgent focus is on the spread of airborne their treatment is cleaned through a single human hair. The smallest dot
pathogens. filtration system may be the extra push represents 1 micron, or 1/1,000
to get them back into your dental chair. of a millimeter. Midmark PowerAir Micron
Listed on the CDC “How Coronavirus Spreads” guidance page is the oil-less compressors utilize a 0.01 0.001 mm
recommendation to “ensure indoor spaces are properly ventilated.” A space with Likewise, as you are adding high- micron coalescent filter.
good ventilation reduces the risk of exposure to infectious respiratory droplets. volume evacuation (HVE) tools in your
0.0254 mm
treatment rooms to reduce aerosols
You can take this recommendation a step further by filtering the air used during with continuous HVE, having adequate
treatments to reduce the risk of viral spread. Midmark PowerAir Oil-Less Air vacuum pump speed is necessary to
Compressors have a 0.01-micron coalescent filter designed to provide the ultimate support their use. If you’re unsure
in clean air, generating the capacity to capture 99.9997% of compressed air whether your vacuum has the power,
contaminants. This filtration is 500-times greater than the industry standard and see our “Key Considerations for
can trap many bacteria, most dust and even some viruses. Use of Continuous HVE in a Dental
Practice,” or your sales team can help
you determine the best equipment to
support your needs.

20 Safety Now More Than Ever 21

Gain Treatment
Insight Safely
Treatment plans to deliver beautiful smiles start with regular preventative oral care.
Safety must be considered, especially when radiation is introduced with these
types of exams.
Long before a virus uprooted everyone’s lives, X-ray safety centered around
radiation exposure. While radiation from dental imaging is fairly low compared to
everyday environmental exposures, the effects of radiation are well-documented
and cumulative. What you do to limit exposure makes a difference to your
patients. Following FDA and ADA guidelines at the point of care during imaging
procedures can help ensure the lowest dose of radiation is given to the patient
for their specific exam needs and help improve outcomes through more accurate
diagnoses.
22 Safety Now More Than Ever
You can minimize the patient’s exposure with the ALARA (As Low As Reasonably
Achievable) Principle. Using ADA guidelines for prescribing dental radiographs Implementing proper cleaning
can help reduce overutilization and excessive radiation and minimize techniques and using protective
underutilization of imaging with a potential inadequate diagnosis. sheaths on digital sensors between
uses, as recommended by the
Using these guidelines, patients are categorized by: manufacturer, can also properly protect
1. Type of visit (new or recall) patients from contamination.
2. Dental status (child with primary or transitional dentition, adolescent,
or adult dentulous or edentulous)
3. Risk category for caries, periodontal disease or growth, and development
assessment
From there, you can determine the right dose for the patient's situation, balancing
patient safety and comfort. You can utilize direct digital sensors for lowest dose or
install easy-to-use intraoral X-rays (IOs) with preset technique factors that are also
adjustable to ensure the right dose. Use IOs with the smallest focal spot, such as 0.4
mm, for lowest dose and to provide the sharpest images.
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Consider the Safety
of Your Equipment
When equipping your treatment rooms with an intraoral X-ray,
you have a fundamental choice between wall-mounted and
handheld systems. Handheld dental X-ray units were originally
developed for situations where fixed units could not be used,
like in field hospitals and emergency triage facilities. Are these
units a safe choice for regular use within a practice? To help
you make an informed decision, read our "Top Five Things To
Consider Before You Invest in an X-Ray Unit" on the next page.
To learn more, read our white paper “Handheld versus
Conventional X-Ray Units in Clinical Dental Practice—a
Cautionary Discussion.”
24 Safety Now More Than Ever
TOP FIVE THINGS TO
CONSIDER BEFORE YOU
INVEST IN A HANDHELD
X-RAY UNIT
1. SAFETY
When using a wall-mounted X-ray unit, the operator
leaves the room, eliminating the potential for exposure to
both leakage and scatter radiation. Exposure to radiation
is a significant safety concern for the operator of any
handheld device. Since the operator is holding the X-ray
source assembly, the principle of “distance” as a safety
factor against leakage radiation cannot be applied. The
patient’s radiation dose also increases as the battery
charge decreases and the exposure time must increase to
compensate.
2. IMAGE QUALITY AND TIME
Images taken as handheld unit batteries discharge are likely
to result in variable image quality. Exposures longer than one
second run a greater risk of blur artifacts caused by patient
or operator movement, resulting in unusable images and
more retakes. Consider the time it takes to capture a series
of quality images. A one-second exposure time for a typical
handheld dental X-ray unit requires a 60-second cooling
down period before the next exposure. The cooling down
period, or duty cycle, for a conventional wall-mounted dental
X-ray unit is half that time. Those extra 30 seconds saved
per exposure become the difference between performing
a full-mouth series of twenty images in 5 minutes versus 10
minutes.
3. WORKFLOW AND ERGONOMICS
While it may seem staying in the room between exposures
would improve workflow, it does not. Placing a receptor in
the patient’s mouth is a two-handed operation and if both
hands are being used, the handheld generator would end
up cradled in the operator’s arm or placed on a work surface.
This placement makes them highly susceptible to being
dropped and damaged. It also causes arm and hand fatigue
for the operator who has to hold the heavy device, which
can weigh as much as 5-8 pounds, in awkward positions
for longer exposures to get the best image. Plus, constant
repositioning of the sensor between acquisitions, such
as in a full-mouth or bitewing series, can take longer and
requires repeated handling of the device, leading to cross-
contamination on top of ergonomic issues and damage risk.
If the battery needs to be charged or multiple operators
need the unit at the same time, clinical workflow can grind to
a halt.
4. REGULATIONS
Not all handheld intraoral dental X-ray units available in the
US are FDA-approved, and not all FDA-approved machines
have been approved for use by every state. Some states
provide cart blanche approval for the use of handheld units,
while others give approval on a case-by-case basis, usually
by an exemption.
5. COST AND LIFESPAN
Not only does one handheld unit cost almost the same as
two wall-mounted units, the general life expectancy of a
wall-mounted unit is 10 years with little to no maintenance.
The estimated 5-year cost for a popular handheld X-ray unit
is over $5,700 more than its wall-mounted counterpart, the
Midmark Preva, when necessary batteries, chargers and
damage waiver warranties are factored in. Handhelds also
add risk to patient flow. If dropped, handheld units must be
sent to the manufacturer for evaluation before being used
again so a backup unit becomes essential.
25
 ™

Resources Clean and Disinfect

Protecting your patients and team from harm goes beyond infection control.
Practicing better ergonomics protects your health. Better workflow can help
Confidently
you avoid safety risks and align to regulatory guidelines. And maintaining your
equipment properly protects not only your patients and team, but also your
investment. Please refer to our recommendations.

• Cleaning + Disinfecting Midmark Dental Equipment + Accessories

• Obtaining Quality Water
• Maintaining a Sterilizer Cleaning + Disinfecting Midmark Dental
Equipment + Accessories
• Maintaining Mechanical Room Equipment
• Maintaining Operatory Equipment Table of Contents
• Maintaining Imaging X-Ray and Digital Impressions Equipment Use the following links to navigate directly to the cleaning
instructions for the applicable product.

Cabinetry
Artizan® Expressions Cabinetry + Synthesis® Cabinetry 2
Countertop Materials 3
The best cleaning and
The pandemic introduced unusual circumstances with practices closing for Imaging and Digital Impressions
Progeny Vantage® Digital Panoramic Systems 4 disinfecting instructions
an extended period, which meant equipment sat idle. There are proper Preva Intraoral X-Ray Systems 5
ClearVision® Sensor Digital Sensor Systems 6
for your equipment
equipment shutdown and start-up procedures that you should follow to
Midmark True Definition™ Scanner 8
Midmark True Definition Wand 10
come from the
protect it. While we hope to never experience closings like we saw in 2020 Instrument Processing
Midmark M9® and M11® Steam Sterilizers 13
manufacturer. Midmark
again, these procedures may help if you do close for an extended period—for
Midmark M3® Steam Sterilizer 14
Midmark QuickClean® Ultrasonic Cleaners 15
has an easy-to-follow,
example, if you close your practice for an extended vacation. Mechanical Room
PowerVac® and PowerVac G Dry Vacuums
ClassicSeries® Wet-Ring Vacuums
17
18
consolidated guide for
PowerMax Vacuums + PowerAir® Air Compressors 19

• Mechanical Room Shutdown Procedures your convenience.

Operatory
• Operatory Shutdown Procedures Midmark Chairs + Seating 20

• Sterilizer and QuickClean™ Shutdown Procedures

Midmark Delivery Units 21
Midmark LED/Halogen Operatory Light 23

• Mechanical Room Start-Up Procedures Midmark 255 LED Procedure Light 24

• Operatory Start-Up Procedures

• Sterilizer Start-Up Procedures
• Preva Intraoral X-ray Start-Up Procedures

These resources and links to regulatory and professional organizations can be found at
www.midmark.com/dental/health-and-safety-information.

26 Safety Now More Than Ever 27

Stay Informed
and Have a Plan
It’s important to understand safety implications for your practice
and appoint someone on your team to understand local, state
and federal standards.

Remember, the American Dental Association, the U.S. Food

and Drug Administration and the Centers for Disease Control
and Prevention are the key agencies that create standards
for your dental practice. The Occupational Safety and Health
Administration, the Joint Commission and local authorities
enforce them.

For assistance navigating through these standards, the mission

of the Organization for Safety Asepsis and Prevention (OSAP) is
to be the leading provider of infection prevention and control
education, training and credentialing that supports safe
dental visits.

At Midmark, we believe that understanding the safety guidelines

you need to follow helps us serve you. That’s why our sales
and marketing teams have each earned a certificate of course
completion from the OSAP-DALE Foundation in Dental Infection
Prevention and Control.

We look forward to designing better, safer care with you.

28 Safety Now More Than Ever 29

© 2021 Midmark Corporation, Maimisburg, Ohio USA
MKT-00463 Rev. A1 (7/21)